ArticleBMC women's health2022
Prevalence and associated factors of early sexual initiation among female youth in East Africa: further analysis of recent demographic and health survey.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and associated factors of early initiation of sexual intercourse among youth in Ethiopia: systematic review and meta-analysis.BMC public health · 2023Pooled it
- Exploring the forced circumstances leading to early sexual debut among primary school learners in Musina, Limpopo.Journal of public health research · 2026Article
- Article
- "Exploring the factors associated with early sexual debut among young women in Kinshasa: evidence from two cross-sectional studies ".Reproductive health · 2026Article
- Time to first sexual experience and its predictors among young women (15-24 years) in Zambia: Evidence from 2024 Demographic and Health Survey.PLOS global public health · 2026Article
- Condom literacy, self-efficacy, and HIV-risk behaviors: a cross-sectional analysis of adolescent girls in northwestern Botswana.Frontiers in public health · 2026Article
- Article
- Adolescent sexuality education, sexual debut, and associated factors in Nigerian public secondary schools.Scientific reports · 2025Article
- Trends, spatial distribution and determinants of maternal home deliveries in Zambia.BMC pregnancy and childbirth · 2025Article
- Prevalence and associated factors of early sexual initiation among female youth in Tanzania: a nationwide survey.BMC public health · 2025Article
- Article
- Extent of Anxiety Among Married Women in Bangladesh and its Potential Predictors: A Nation-Wide Cross-Sectional Study.Depression and anxiety · 2025Article
- Life orientation teachers' perspectives on intersectoral collaboration management of sexuality education.African journal of primary health care & family medicine · 2024Article
- Early sexual debut among adolescent girls and young women in Sierra Leone: A multilevel analysis of prevalence and predictors.Contraception and reproductive medicine · 2024Article
- Influence of socio-contextual factors on the link between traditional and new media use, and young people's sexual risk behaviour in Sub-Saharan Africa: a secondary data analysis.Reproductive health · 2024Article
- Does timing of sexual debut following menarche among female youth in Uganda matter? A discrete time analysis.BMC women's health · 2024Article
- Spatial distribution and determinants of Early sexual initiation in Ethiopia.BMC public health · 2024Article
- Geographically weighted regression analysis to assess hotspots of early sexual initiation and associated factors in Ethiopia.Heliyon · 2024Article
- Associations between lifetime pregnancy and sexual risk behaviors among 15-24-year-old adolescent girls and young women in South Africa: Secondary analyses of the 2016 Demographic Health Survey.PLOS global public health · 2024Article
- Timing of sexual debut and associated sociodemographic and HIV risk factors among young people in Eswatini.PloS one · 2024Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly sexual initiation is one of the risky sexual practices. Early sexual beginning is associated with an increased risk of HIV/AIDS, sexually transmitted infections (STIs), unexpected pregnancies, unsafe abortion, premature deliveries, and psychosocial issues. However, there is still a lack of evidence, particularly in East Africa, where community-level factors are not investigated. Therefore, this study aimed to estimate the pooled prevalence and to identify associated factors of early sexual initiation among female youth in Eastern Africa.
methodsA total weighted sample of 49,716 female youth was included in this analysis. STATA version 14 software was used for data extraction, recoding, and analysis. A multilevel binary logistic regression model was fitted to identify determinants of early sexual initiation in the region. Finally, Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was reported to declare the factors that are significantly associated with early sexual initiation.
resultThe prevalence of early sexual initiation in East Africa was 21.14% [95% CI: 20.00%, 21.50%]. In the multivariable multilevel analysis; being age 20-24 years [AOR = 0.65: 95% CI; 0.61, 0.69], primary [AOR = 0.73: 95% CI; 0.67, 0.78], secondary &above education [AOR = 0.30: 95% CI; 0.27,0.33], married [AOR = 1.85: 95% CI; 1.73,1.97], middle wealth [AOR = 0.78: 95% CI; 0.72,0.84], richest [AOR = 0.74: 95% CI; 0.68,0.80], and reading newspaper [AOR 0.77: 95% CI;0.71,0.83] were significantly associated with early sexual initiation.
conclusionThe study revealed that early sexual initiation among female youth was high in East Africa. Educational status, respondent age, marital status, wealth index, age at first cohabitation, contraceptive use, reading newspaper, and place of residence were associated with early sexual initiation. Therefore, the survey findings will help policymakers, as well as governmental and non-governmental organizations, design the most effective interventions. Moreover, strengthening information, education, and wealth status are important intervention areas to delay the age of early sexual debut.
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